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Clinical Documentation Specialist

Atos-North America
United States, Texas, Irving
901 West Walnut Hill Lane (Show on map)
Jan 25, 2025

The future is our choice

At Atos, as the global leader in secure and decarbonized digital, our purpose is to help design the future of the information space. Together we bring the diversity of our people's skills and backgrounds to make the right choices with our clients, for our company and for our own futures.

Clinical Documentation Specialist

Job Description:

Under limited direction and according to clinical documentation guidelines and established policies/procedures, responsible for improving the overall quality and completeness of clinical documentation in the legal medical record via concurrent clinical record review. Duties and responsibilities are not limited to, but as follows:

* Facilitates necessary documentation in the medical record through extensive interaction with physicians, HIM and coding staff to ensure the most appropriate reimbursement and highest level of SOI/ROM is achieved for the level of service rendered to all patients

* Educates physicians regarding clinical documentation needs, changes to clinical documentation guidelines and coding and reimbursement opportunities on an on-going basis

* Applies knowledge of medical terminology and procedures to evaluate clinical documents for documentation and reimbursement opportunities

* Acute Care (inpatient) medical record monitoring (concurrent) of diagnoses, treatments, and follow-up entries in medical records to validate the accuracy of patient medical record documentation and diagnoses - obtaining missing information via a query when necessary

Clinical Documentation Specialist Qualifications:



  1. Must answer yes to at least
  2. 1: Do you hold a CDIP credential? Yes or No
  3. Do you hold a CCDS credential? Yes or No
  4. Do you have at least 1 year of experience with concurrent inpatient facility coding/clinical documentation improvement? Yes or No
  5. Do you hold an RN credential (in any state)? Yes or No




  1. Not required, but a BONUS if answer is yes:
  2. Do you hold a CCS credential? Yes or No
  3. Do you hold a RHIT credential? Yes or No
  4. Do you hold a RHIA credential? Yes or No
  5. Do you hold an MD credential? Yes or No
  6. Do you have experience working for an academic medical center in the capacity of a concurrent clinical documentation reviewer? Yes or No



Future career path:



  • After your 1st year in Atos you can apply to any position to keep growing as a professional.



If you're ready to embark on this excitingadventure with us, sign in on jobs.atos.net.

For any questions, pleasecontact our recruiter Juan Estrada / juan-carlos.estrada@atos.net

Join our phenomenal team to grow together!

#LI-US #LI-REMOTE


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